Individual provider Active NPI

Victoria Jole'Ann Clayton, BS, OTR/L, CHT

  • Occupational Therapist
  • Columbia, SC
National Provider Identifier
1619090164
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3259 Issued in SC
Practice address
3016 Longtown Commons Dr Ste 115
Columbia, SC 29229-7849
Phone
(803) 314-0529
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3887 TN
Pediatric Occupational Therapist 225XP0200X 3259 SC
Occupational Therapist 225X00000X 3259 SC Primary

Addresses

Primary practice location

3016 Longtown Commons Dr Ste 115
Columbia, SC 29229-7849

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 935-8292

Other practice location 1

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Other names 1

  • Victoria Hamernick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vclayton60266@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328001158 SC Practitioner - Occupational Therapist in Private Practice 4486806510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

3799 12TH St Ext
Suite 100
Cayce, SC 29033-3750
Phone (803) 926-6810

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
OT3887TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Greenville Proaxis Therapy LLC Occupational Therapist CurrentSince Oct 17, 2016 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Greenville Proaxis Therapy, LLC Occupational Therapist CurrentSince Oct 17, 2016 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Current Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

3799 12th Street Ext
Ste 100
Cayce, SC 29033
Phone (803) 926-6810

557 Columbia Ave
Ste D
Chapin, SC 29036
Phone (803) 345-1288

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1619090164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-935-8292",
            "fax_number": "423-622-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 LONGTOWN COMMONS DR STE 115",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297849",
            "telephone_number": "803-314-0529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043322",
            "country_code": "US",
            "telephone_number": "423-624-2696",
            "fax_number": "423-622-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "VICTORIA",
        "middle_name": "JOLE'ANN",
        "credential": "BS, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT3887",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "3259",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vclayton60266@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3799 12th Street Ext Ste 100",
            "city": "Cayce",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290333750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HAMERNICK",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.